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Street Cut Permit 652 King Street
Permit No. 4247 Town of South Windsor, CT Date 0 6/2 8/2 0 0 6 Street Excavation Permit Expiration Date 06/28/2 0 07 Descrip: INSTALL WATER SER SCE I'AI vkr'. Applicant -r fz t '�`YffY T„�":/S>�.ry :<.k.i.m •f,-< �. i V'£.- Name INCORPORATED CONSTRUCTION::..:,. r, w ,,6€ KING ST ET...s...'a 18 0 W sw .,, .- :. Addy. NEWBERRY �f uy.�>r t: ::. v BLOOMF IELD Phone I860)242-0150 Applicant agrees> to 'fij'4 .414 re ; ;; Win d€ Rea-,a t•r:-ttio xnt of bond required and to reiikfurse3}eiou #� waSbwl� a � n2 '�xpn s e s incurred by the Town; tt} ta3Yte ante or-repair wdr jin�. 04n4ct16n with this permit and that appl'`cnt is ' msi ' ' r t1'-. b .:day tie rules and regulations for permit as o`u't' ine: �i' .f Cut P :...z s : sf s. tii kn'dalor's Street ermi t Manual. _; L '"t ` * * PERMIT TO 'BE'<K P *;,ON"u6s.`�S'Z3tE' :..AT;Iy,: TI'hlE'S•u Issued by -- ---------------- 1' Date Completed --- Inspected By TOWN OF SOUTH WINDSOR INSPECTION REPORT Permit No. 4247 Cont or INCb* 'PGRkTED CONSTRUCTION Location 0652 KING STREET F " tic�re s j rv18 0 43f:"Igy7BERRY RD Type Work WATERw +- . ¢' lT+QOMFL3:xCT..,ry�d' 002-1331 .'4,q+.:• 15hon. 9".."'8m 6 4CXA f a ` - �- Date Insp Needed -�- — � '• YY Tract 'I.a: ' . ; : .: Time Insp Needed a,. ::y.-...y •� �'"` r' � '�. r�"; ::. � g. Ins �;';✓,` -k '.;� "^��.;�>��y>?; •��r`'�>r; .. petted By /o� ��"" >. ,ry .+a><�. .. ''..' "af)t ?,•3 :: Work in Progress — � .., `-<. Y �:.... +.•-`.>:�,t ..} :'.i...:`}it�t..vet Etal .: e,e- 9�-•t. fie%- J! �f y ('$vl ' ir,'`.. ,y_u :,. 5i:.._; ` .✓ W y— w. —=- APPLICATION FOR STREET EXCAVATION:PERMIT TOWN OF SOUTH WINDSOR PUBLIC WORKS WORKS DEPARTMENT Permit No. TOWN HALL 1640 SULLIVAN AVENUE SOUTH WINDSOR,CT 06074 FEE $25.00 Address of Firm��(� Phone No a �of Firm fi Location of proposed work . Describe fully nature of permit requested - � dU o (17 S� t ,o u,� Starting date Call Before You Dig Na�,2 Dry �.t ApProx,time for completion O /SE Traffic Services Control No. Show sketch of proposed work or furnish two copies of separate drawing This section to be filled out b Indicate North Town of south'Windsor Pavement Cut \ No.cuts Est.'Size of Penn.Patch(s) 54 Est Pvt.Thickness d _in. Est.Unit Price$ `51 Amt.of Deposit$ , Total Due$ L-9 S by ( )Cash( Check# of -� s AS-ggjbC 51�i Gt{ "E> Permanent Patch No. Cuts v Size of Patch(s) Final Billing Amt.Due Payee Amt.Due Town $ By Applicant is res onsibie for contacting the Police De t.and C.B.Y.D. I AGREE TO FURNISH TO THE TOWN OF SOUTH WINDSOR THE AMOUNT OF BOND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR ANY EXPENSES INCURRED BY THE TOWN FOR MAINTENANCE OR REPAIR WORK CONNECTION WITH THIS PERMIT AND THAT I AM FAMILIAR WITH AND-WILL ABIDE BY THE RULES AND REGULATIONS FOR PERMIT$AS OUTLINED IN THE TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL. Signed: Date: Title: Driver's License#: PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES TOWN OPSOUTIfWINDSOR. ENGINEERING DEPARTMENT tIt ADDRESS PERMIT NO, SHEET UTILITIES Of INSPECTOR TEMP.PATCH DATE INSPECTOR ., COMPLETIONDdTE y a . I 6 e i y i IL e ]Y �X A IAR y �► \ RM 4 4 t+✓r y , G r x z s j \ � I 1 I,r j f �y 1 tit`F SITta-rg OF C'a;.►�t. N0�RTH t o0., do �09,0 as rrs tw 10 t� LO a �. Ya Sanitary Disposal §Zstem fi ......._..__...Z .+. 0 DESIGN Deep Test Datas Propgse�l Reserve 0" 84" clean sand Leaching beaching 0 fT no groundwater Area Area A no ledge .1". L�1_ ��; r Percolation Rate; i T" drop in 5 minutes5 , i55 ! - 3 Bedroom Residence USE 1000 Gallon Septic Tank USE 125 LF of 3s wide leaching --� _ 11j0.�pe�ep Test trenches 101 min. Pere Test '-1000 Gallon Septic Tank - - - -- .-Cast Iron Pipe ---- 15' mir. ! p - - o ' .bvd- o.. 40 1— 75.5' �q 87 Q _ . ��Og CON1VFCrf bO � C A PTV£L iy<G cG� u`Q> l:T-Q E e (_ A N%6293 PR©PERTY °A IST15g tiirv�� of ONVAL STANLEY KRAJEWSKI 3e King Street South Windoory Conn. �ao CONNte Scale I'O 40' Auguist .19 j, 1976 f J/ '°data �ti'�o nuel W. Week P. E. L. S. ' f building purposes only :'. ....... :.F.., .. ,`,un,,,...•:..„:. f,w.• ;�„i..•..U.akww,ni..,C .wdCt, sw.,..i.<uN.+x,nd n..y:.d ta,,.✓. `;: rd .n ?.�� ... . :r•.:gi:. ... _, . # r .+rJ, I r �b aroder.,.rQ� � f l �-' - s� 1. •ter - i f I rf N 6 % I 9 1 I ff { I f /r {I j